Individual
SHEILA DENISE GILLILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
703 GREEN ST, RIVERTON, WY 82501-8910
(307) 851-0158
Mailing address
703 GREEN ST, RIVERTON, WY 82501-8910
(307) 851-0158
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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